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Bureau for Global Health
>> Regional Overview >> Global Health Overview Program Data Sheet
936-004OPERATING UNIT: Bureau for Global Health
PROGRAM TITLE: HIV/AIDS Program (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased use of improved, effective and sustainable responses to reduce HIV transmission and to mitigate the impact of the HIVAIDS epidemic, 936-004
STATUS: Continuing
PLANNED FY 2002 OBLIGATON AND FUNDING SOURCE: $62,000,000 CSH
UNOBLIGATED PRIOR YEAR FUNDS AND FUNDING SOURCE: $2,383,001 CSD
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $65,506,000 DA
INITIAL OBLIGATION: FY 1996 ESTIMATED COMPLETION DATE: FY 2013Summary: USAID's HIV/AIDS strategy focuses on the programs and countries where assistance can save the most lives. Preventing new infections is the most important objective. USAID resources are focused on those interventions and those countries where we can make a difference. USAID provides support to proven HIV/AIDS prevention approaches, such as:
- changing high-risk behavior;
- educating young people,
- recognizing and treating sexually transmitted infections;
- increasing demand for, and access to, condoms especially for high risk populations;
- preventing mother-to-child transmission; and
- promoting voluntary counseling and testing.
While prevention will remain the cornerstone of USAID's program, programs for the care, treatment and support of people infected and affected by HIV/AIDS are being expanded. These include:
- providing community-based and health facility care and support for HIV infected individuals and their families, including children affected by AIDS; and
- providing care and treatment of opportunistic infections associated with HIV/AIDS, especially tuberculosis.
- In addition, USAID provides global leadership in the fight against HIV/AIDS by:
- encouraging greater financial commitments from private foundations, bilateral donors and multilateral institutions;
- helping launch the Global Fund to Fight AIDS, Tuberculosis and Malaria;
- supporting other international initiatives such as the United Nations General Assembly on AIDS and international organizations like the Joint United Nations Program on HIV/AIDS (UNAIDS); and
- providing technical leadership through biomedical and operations research and identification of "best practices." This includes efforts to determine effective approaches to providing anti-retroviral treatment in resource-poor settings.
Inputs, Outputs and Activities: FY 2002 Program: This year, USAID is stepping up its war against AIDS to stem the spread of the epidemic. USAID's expanded response includes the following:
- Increased funding for field programs. USAID will substantially increase the total and the proportion of its resources which are managed and used in the field to scale up prevention, care and treatment programs and support for children affected by AIDS. The increased funding will be focused on priority countries and regional programs where USAID can optimize impact.
- Increased support for more priority countries. USAID is increasing the number of countries, which receive priority support from 17 to 23.
- Strengthened regional programs to meet the needs of other countries. This approach involves pooling resources to achieve a critical mass of technical expertise to track the epidemic, identify and focus on regional hot spots, and reach high-risk populations such as migrant workers, truckers, other transport workers, prostitutes and combatants.
- More resources for Africa. Africa remains USAID's highest HIV/AIDS priority. In particular, the new plan significantly increases funding for sub-Saharan Africa.
- Increased field staff. USAID is assigning more staff to priority countries and regional programs to provide the technical leadership and management necessary for effective expanded programs.
- Increased accountability. USAID is establishing a comprehensive monitoring and reporting system to track progress in the priority countries, document programmatic impacts and ensure effective use of HIV/AIDS resources.
- Strengthened organizational capacity to combat the pandemic. USAID is upgrading its HIV/AIDS Division to office status, appointing a Senior Agency AIDS advisor who will report directly to the Assistant Administrator for Global Health; and refining the Agency's HIV strategic plan to accelerate programmatic impacts.
Planned FY 2003 Program: The recent increases in HIV/AIDS resources will enable USAID to further escalate its war on AIDS, better meet the needs of priority countries for assistance with prevention, care, treatment, and provide global leadership in critical issues of care and support.
Performance and Results: USAID is supporting HIV/AIDS prevention and mitigation programs in approximately 50 countries around the world. Nearly 70% of the assistance goes to non-government organizations that provide information and services to the poorest, most vulnerable segments of society. With its increased budget, the Agency has established new or expanded programs in primary prevention, care and support and mother-to-child transmission. In addition, it is in the process of establishing a comprehensive system to monitor program progress and report on results. The Agency supports over 55 projects that provide support to children affected by HIV/AIDS in 22 countries and supports voluntary counseling and testing programs in 15 countries. In the past five years, USAID has funded education and behavior change programs that have reached over 30 million people and have trained over 180,000 new counselors and educators. The results of these programs are being seen in decreased infection rates in countries such as Uganda and Zambia. Surveys have documented that widespread behavior change, particularly partner reduction and delayed onset of sexual activity among youth, can result in dramatic reductions in HIV/AIDS prevalence. Also important is the increased use of condoms by prostitutes and their clients in countries like Cambodia, the Dominican Republic and Thailand. USAID has provided over one billion male condoms in support of HIV/AIDS prevention. In FY 2001, USAID established two new programs to increase support to communities - the CORE (Communities Responding to the HIV/AIDS Epidemic) initiative to strengthen its partnerships with community and faith-based organizations and the Community REACH (Rapid and Effective Action Combating HIV/AIDS) project that will provide small grants to community organizations.
USAID has continued to work with other donors to keep HIV prevalence rates low (less than 2%) in Senegal, Philippines and Indonesia and is helping reverse the epidemic in several higher prevalence countries (Uganda, Dominican Republic and Thailand).
USAID will work closely with host country governments, citizen groups and other donors to work toward the following goals by 2007: (1) reducing HIV prevalence rates among 15-24 year olds by 50% in high prevalence countries, and maintaining prevalence below 1% among 15-24 year olds in low prevalence countries; (2) providing access for 25% of HIV/AIDS infected mothers in high prevalence countries to interventions to reduce mother-to-child HIV transmission; and (3) enabling host country institutions to provide basic care and psychosocial support services to 25% of HIV infected persons and orphans and vulnerable children in high prevalence countries. In FY2002, USAID and its partners will expand the collection and analysis of data on national sero-prevalence rates, high-risk sexual behavior, and the quality and coverage of prevention, care and support programs.
Major Contractors and Grantees: Contractors and grantees include: (1) Centers for Disease Control & Prevention; (2) Family Health International (FHI) - subcontractors: Population Services International (PSI), Program for Appropriate Technology in Health (PATH), Management Sciences for Health (MSH), Institute of Tropical Medicine, University of North Carolina; (3) Global Health Council; (4) International HIV/AIDS Alliance; (5) UNAIDS; (6) PSI - subcontractors: FHI, PATH, MSH, International Center for Research on Women, DKT International; (7) Population Council - subcontractors: PATH, ICRW, Futures Group International, Tulane University, University of Alabama, International HIV/AIDS Alliance; (8) TvT Associates; (9) U.S. Bureau of Census; (10) U.S. Peace Corps; (11) TvT Associates.
US Financing in Thousands of Dollars
936-004 Increased use of improved, effective, and sustainable responses to reduce HIV transmission and to mitigate the impact of the HIV/AIDS pandemic CSD CSH DA Through September 30, 2000 Obligations 152,159 0 37,452 Expenditures 119,347 0 37,452 Unliquidated 32,812 0 0 Fiscal Year 2001 Obligations 75,408 0 0 Expenditures 62,472 0 0 Through September 30, 2001 Obligations 227,567 0 37,452 Expenditures 181,819 0 37,452 Unliquidated 45,748 0 0 Prior Year Unobligated Funds Obligations 2,383 0 0 Planned Fiscal Year 2002 NOA Obligations 0 62,000 0 Total Planned Fiscal Year 2002 Obligations 2,383 62,000 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 65,506 Future Obligations 0 0 1,056,340 Est. Total Cost 229,950 62,000 1,159,298
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Last Updated on: May 29, 2002 |
